Treatment FAQ

how long does low t treatment take to be effective

by Madisen Larson V Published 3 years ago Updated 2 years ago
image

Effects on sexual interest appear after 3 weeks plateauing at 6 weeks, with no further increments expected beyond. Changes in erections/ejaculations may require up to 6 months. Effects on quality of life manifest within 3–4 weeks, but maximum benefits take longer.

Full Answer

How long does testosterone replacement therapy take to work?

The length of time that any single person needs to be on testosterone replacement therapy varies, based on your symptoms, age, sex and weight. Generally speaking, testosterone therapy is given over the course of a few months. What Kind of Results Can I Expect From Testosterone Therapy?

Is low-T therapy the first course of action?

Even if your levels are low and you have symptoms, low-t therapy is not always the first course of action. If your doctor can identify the source for declining levels—for instance, weight gain or a particular medication—he or she may first address that problem.

How long does it take for TRT to work?

Within 1 to 2 years of TRT, your doctor will measure your bone density if you had osteoporosis when treatment began. Your doctor will evaluate your prostate cancer risk at the start of treatment and may do more tests at the 3- and 6-month marks, and then annually.

Can I Stop my TRT treatment?

To begin with, no patient’s treatment should ever be stopped without first consulting with the TRT doctor who has prescribed and is managing the TRT program. Depending on the specific reason for stopping therapy, the doctor will decide whether it should be discontinued immediately or gradually.

image

How long does it take for T shots to work?

Most individuals will start to notice significant changes within 4 to 6 weeks of beginning treatment with testosterone injections, but some changes may actually be felt and seen much earlier.

How long does it take to feel the effects of testosterone injections FTM?

The maximum effect will occur within one to two years. Increased muscle mass and strength. This will begin within six to 12 months after treatment. The maximum effect will occur within two to five years.

How long does it take for testosterone levels to restore?

Almost all of the men had testosterone concentrations return to normal three months after the end of the cycle, and 100% by 12 months, providing they had normal gonadal function at the beginning of the study.

How long does it take for AndroGel to work?

Luckily, diagnosis is easy (your testosterone levels were low) and treatment remarkably effective. Starting one packet of AndroGel per day is fine. You should see things "looking up" within a week or two. If not, the dose may need to be increased.

Will testosterone change my face?

Your eyes and face will begin to develop a more angular, male appearance as facial fat decreases and shifts. Please note that it's not likely your bone structure will change, though some people in their late teens or early twenties may see some subtle bone changes.

What happens after your first testosterone shot FTM?

There are general changes you will experience at different times during your first year of testosterone, such as your shoe size going up and your skin becoming oiler. Some people report that their genital becomes enlarged after a few months, while for others it takes longer. It all depends on your body.

How long does it take for androgen receptors to recover?

Suppressed testicular and cardiac function due to androgen abuse is effectively fully reversible (apart from testis volume and serum sex hormone binding globulin) with recovery taking between 6 to 18 months after ceasing androgen intake with possible cumulative effects on spermatogenesis.

What is a dangerously low testosterone level?

Deficiency means that the body does not have enough of a needed substance. Syndrome is a group of symptoms that, together, suggest a disease or health condition. The American Urology Association (AUA) identifies low blood testosterone (Low-T) as less than 300 nanograms per deciliter (ng/dL).

How long does it take AndroGel to absorb?

Wait for at least 2 hours (for AndroGel® 1.62%, Fortesta®, and Vogelxo™) or 5 hours (for AndroGel® 1%) after applying this medicine before showering or swimming.

How much will AndroGel raise my testosterone?

How well does AndroGel 1.62% work? Using AndroGel 1.62% every day can help raise your testosterone levels to the normal range and, with continued use, help keep them there. In a clinical study of 274 men who had low testosterone, some used AndroGel 1.62% and some used placebo.

Will testosterone gel make me bigger?

Treatment with testosterone injections was associated with 5.7% increase in lean body mass and 10-13% increase in total body strength, leg strength, and arm strength. Treatment with testosterone gel was associated with only 1.7% increase in lean body mass and 2-5% increase in total body and arm strength.

Does taking testosterone make you hornier?

Yes, testosterone does make you hornier and improve your sexual libido (desire to have sex). Many men (and women) use testosterone boosting supplements to increase sexual desire if they feel they've lost their sex drive or they've noticed reduced sexual attraction due to low testosterone as they get older.

How much testosterone is normal?

Normal levels of testosterone range from about 300 to 900 nanograms per deciliter (ng/dL), and there's little to suggest that men whose levels fall within that range would benefit from therapy, says urologist Michael Eisenberg, MD, director of male reproductive medicine and surgery at Stanford Hospital and Clinics in Palo Alto, Calif.

Does testosterone cause heart problems?

Again, it's not clear if low testosterone levels actually cause heart problems. Both Eisenberg and Morgentaler say that testosterone therapy can dramatically affect a man's quality of life. Besides its sexual benefits, TRT can improve a man's mood and energy level while reducing irritability and anger.

Does testosterone affect heart health?

Testosterone is also tied to heart health, says Eisenberg, who discloses that he has received a grant from Endo Pharmaceuticals to study the association between testosterone and health. "Lower testosterone levels have been linked to higher risk of cardiovascular problems," Eisenberg says.

How long after taking a nasal spray can you get in contact with a woman?

Still, as a precaution, he advises men to avoid skin -to-skin contact with women, children, or pets for the first two to four hours after applying medication. A nasal gel is now available that eliminates the risk of exposure to others.

Does testosterone affect life expectancy?

Testosterone may also play a role in how long men live. Recent studies, Morgentaler says, show a link between low testosterone and shorter life expectancy. "Men with low T die sooner than men with normal levels of testosterone," he says. It's not clear if low testosterone, by itself, makes earlier death more likely.

Can a man with low testosterone stay on it?

To continue to benefit, a man with low testosterone must remain on it. However, says Eisenberg, we don’t know a lot about its long-term safety.

Can you use testosterone gel on a woman?

Men who use a testosterone gel should wash their hands thoroughly after applying a dose and make sure that no one else touches the spots where they medicate. If a woman or child comes into contact with testosterone gels, it can cause side effects in them, including hair growth and premature puberty.

What should men do?

It’s especially important for men experiencing possible signs of testosterone deficiency to get a thorough evaluation before opting for a supplement. The American Endocrine Society guidelines for testosterone use, which Dr. Bhasin helped to create, lay out the basics of good practice.

Is it important to get a thorough evaluation of testosterone?

It’s especially important for men experiencing possible signs of testosterone deficiency to get a thorough evaluation before opting for a supplement. The American Endocrine Society guidelines for testosterone use, which Dr. Bhasin helped to create, lay out the basics of good practice.

Is testosterone still booming?

As the debate over safety and effectiveness smolders, the testosterone business is still booming. In 2013, 2.2 million American men were on prescription testosterone, and 80% of them were ages 40 to 74. Some suffer from verifiable medical problems that cause testosterone levels to plummet, like malfunctioning testes or pituitary gland tumors. No one disputes that these cases of “classical hypogonadism” warrant testosterone therapy (especially if the man starts to lose his hair and have hot flashes).

Does testosterone help with low T?

By Daniel Pendick , Former Executive Editor, Harvard Men's Health Watch. An ongoing pharmaceutical marketing blitz promises that treating “low T” with a daily prescription testosterone boost will make men with age-related decline in this hormone feel more alert, energetic, mentally sharp, and fully functional in the bedroom.

Is there a study to date that shows men are at increased risk for cardiovascular disease?

Frustratingly, there has been no study to date designed to conclusively answer this basic question. “There is a hint that [men] may be at increased cardiovascular risk, but it’s not conclusive by any means,” Dr. Bhasin says.

Does Harvard Health Publishing have archived content?

As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

What is low T?

This is a form of testosterone deficiency that has gradually typically progressed over time and can cause chronic symptoms when it has reached a certain point ...

Do low T patients respond to treatment?

However, the majority of adult patients who use Low T therapy do respond positively to treatment in varying degrees. As a general rule, patients with the greatest extent of testosterone deficiency before starting treatment tend to receive the most dramatic improvement in their symptoms, which are generally more severe than those exhibited by patients with a lesser degree of deficiency. This is why it is essential for TRT providers to establish, through the use of a testosterone-measuring blood test, the presence of a clinically significant level of male hormone deficiency before diagnosing and treating any Low T patient.

Can you stay on testosterone therapy?

As TRT researchers know, it would be unrealistic to expect any form of hormone replacement therapy to have the same effect of every patient that uses it; and the individual efficacy of a person’s Low T therapy certainly has a bearing on how long can you stay on testosterone therapy. Some patients will receive exceptional results from their treatment and so they use it indefinitely; others may experience some benefits but not to same extent; and there will be some patients that simply don’t respond to treatment as desired after a reasonable period of using it, so they will be very likely to discontinue the program.

Is testosterone replacement safe for men?

The clinically established health benefits that are associated with using male hormone replacement therapy have been shown to far outnumber its very low potential risks. In fact, the health risks that have been linked to having an untreated testosterone deficiency are much greater than any of the risks presented by using a doctors prescribed program of treatment.

Can testosterone levels be lower?

Some men just naturally have lower testosterone levels than others, and that is not necessarily a problem for them. But for other men, the development of Low T levels is a problem, one that is accompanied by some very undesirable symptoms. So how long can you stay on testosterone therapy safely when you and your TRT doctor have decided that it would be beneficial for you to begin using this treatment?

What Kind of Results Can I Expect From Testosterone Therapy?

The reason that testosterone therapy is given over the course of a few months, is that it takes time to be effective. Be patient, onset of results varies a lot from person to person. To better understand how long you need to take testosterone, there are a few other things you need to realize about the results of testosterone therapy.

How Long Does It Take to See Results From Testosterone Therapy?

You will not see overnight results from your testosterone therapy. Your prescription for testosterone therapy will be designed for your body to react to the increases in testosterone slowly over time. However, the benefits of testosterone therapy basically impacts four major areas of your life:

Is It Dangerous to Stop Testosterone Therapy?

It is possible that you may have heard some horror stories regarding withdrawal symptoms from stopping testosterone replacement therapy, or that serious side effects can happen once you stop taking testosterone. Most of these stories are rumors, and the results of misinformation, and people who have misused or abused testosterone. It is true that your body can have withdrawal-like symptoms once you stop taking testosterone. However, such negative impacts of stopping testosterone almost always occur when you stop suddenly, without your doctor’s authorization. It is not a good idea under any circumstances to stop “cold turkey.” If you feel you are experiencing side effects, or not getting the results you want, from your testosterone therapy, do not just stop. Call you doctor, your dose of testosterone may need to be adjusted.

Does Where I Get My Testosterone Therapy Make a Difference?

If you want to get the most you can from taking your testosterone injections, you want to work with a specialist who has a proven track record in administering hormone replacement therapies for men.

How long does testosterone therapy take?

However, it takes time, and you must be patient. Generally speaking, testosterone therapy is given over the course of a few months. The length of time that any single person needs to be on testosterone replacement therapy varies, based on your symptoms, age, sex and weight. Testosterone therapy is most successful when it is prescribed ...

How long does it take to get testosterone replacement?

Generally speaking, testosterone therapy is given over a course of a few months. Typically, for a first time prescription, you will be prescribed a 10 week or a 20 week program of testosterone therapy.

When is testosterone therapy most successful?

Testosterone therapy is most successful when it is prescribed for your particular individual needs, lifestyle and goals.

How long does testosterone last in a pellet?

Patients choose these options for various reasons. Pellets, for example, typically last up to 3 months, and patients only need to schedule 4 appointments per year as part of hormone replacement therapy. The drawback is that, unlike injections, the dosage can only be adjusted when replacing the pellets.

How soon will testosterone replacement therapy show results?

As you might expect, there isn’t a single answer to the question of how soon a testosterone replacement therapy patient will see results. Several factors influence the onset of the results, including the TRT method used, the specific symptoms being treated, and the patient’s physiological makeup. But studies have identified some general expectations that can help answer patients’ questions.

How long does it take for testosterone injections to work?

Typically, patients will notice results after 3 weeks.

What does low testosterone mean?

Men diagnosed with low levels of testosterone—often called “Low T”—experience symptoms ranging from lack of energy and productivity, reduced sex drive, depression , and brain fog. Once they’ve decided to get testosterone replacement therapy at our clinics in the Baton Rouge and New Orleans areas, they’re anxious to know when they can expect ...

How long does it take for libido to improve after TRT?

Your libido will continue to ramp up for another 3 weeks and then plateau and maintain that level with continued treatments. The changes in erectile function take several more weeks to appear. You can expect to notice an improvement in mood and reduced depression about six weeks after beginning TRT injections.

Is testosterone replacement therapy effective?

If your primary focus is getting efficient results, testosterone replacement therapy injections are the superior way to provide you with bioidentical hormones. These hormone injections work the same way that your body’s naturally produced testosterone would and are proven to be clinically effective.

Is there a specific day when hormone replacement therapy begins?

As you can see, there isn’t a specific day that hormone replacement therapy begins working. The process is gradual—especially if you opt for a method other than injections—and can change as your treatment evolves. A better question might be, “how long will I see the benefits of hormone replacement therapy.”.

What Is Testosterone Replacement Therapy?

While some men may benefit from taking testosterone, the benefits for those with normal levels are unclear.

What is the most common form of testosterone replacement?

The most common form is a topical gel. About 70 percent of men on testosterone replacement therapy apply these gels daily. "Gels are used in places where men are less likely to come into contact with women or children, such as the inner thigh, shoulder, or armpit," Farooq says.

How long does it take for testosterone replacement therapy to work?

For men who are prescribed testosterone replacement therapy, it usually takes three to six months to work, Farooq says. "Some men may see improvement sooner, but for most men it's a gradual process,” Farooq says. “Don’t expect a miracle overnight.".

How long does it take for testosterone to work?

Research published in 2011 in the European Journal of Endocrinology, however, suggested that the effects of testosterone replacement therapy on men's libido and symptoms of depression may begin after three weeks.

Why is my testosterone low?

If your low testosterone is caused by an underlying health condition, such as obesity, type 2 diabetes, or sleep apnea, treating that condition may help improve low testosterone, says Ahmer Farooq, DO, assistant professor of urology at Loyola University Medical Center in Maywood, Ill.

How often do you get testosterone injections?

About 17 percent of men treated for low T receive testosterone injections every 7 to 22 days. Testosterone levels peak two to three days after the injection and then slowly drop until the next dose of the hormone is given.

How to keep low testosterone levels at bay?

But even if you’re prescribed testosterone treatment, diet, exercise, stress management, and other healthy habits are important to keep symptoms of low testosterone at bay as well.

How does testosterone gel work?

Gels & Creams: Gels and cream need to be absorbed into the skin and then into the bloodstream in order to be effective. Absorbing through the skin allows for a constant supply of testosterone to the body but has its limitations in that each individual may absorb medications and hormones at different rates. It's also difficult to get fat soluble hormones through the skin without certain carriers which may cause a reaction in certain people. Gels/creams tend to offer the best stability in terms of testosterone serum levels but they require frequent administration (such as up to twice per day) which can be a problem for some people. Also, gels/creams may be absorbed by other people that you come into contact with.

What to do if you haven't noticed an improvement in your symptoms?

If you haven't noticed an improvement in your symptoms then it's a good idea to re-evaluate your serum testosterone levels ( both free and total testosterone) to determine if your dose is adequate. Sometimes it's really just as simple as altering your dose. #2. Route of Administration.

What is testosterone replacement therapy?

Testosterone replacement therapy is used to treat patients who may have low circulating levels of testosterone in their body. This condition is often referred to as hypogonadism which simply means that your sex hormones are no longer being produced at normal and optimal levels.

What does it mean when you take testosterone?

This means that the amount of testosterone someone takes will be unique but also HOW they take it, meaning how they put it into their body.

How long does it take for testosterone to kick in?

Because testosterone is a hormone, which acts through genomic changes in each cell, it can take weeks to months for certain beneficial effects to kick in.

What is the difference between menopause and andropause?

The unfortunate truth is that this condition will occur over time in both men and women. The reduction in testosterone in men is referred to as andropause, while the reduction in both estrogen and progesterone in women is referred to as menopause.

Why isn't TRT working?

With these basics under your belt, you can begin to understand some reasons why standard TRT may not work in certain individuals. #1. Dosing. The first and most common reason that testosterone may not be working in your body is simply because of dosing. You may not be taking enough testosterone.

Why is my LDL cholesterol high?

High levels of LDL cholesterol can be caused by an unhealthy diet and not getting enough exercise. However, cholesterol levels may also be linked to genetics for some people. You can have high cholesterol despite eating a healthy diet and getting regular exercise. Your LDL cholesterol level may also rise as you get older.

What happens when testosterone levels are in an acceptable range?

When levels of testosterone are in an acceptable range, the production of the signal hormones are slowed, which in turn allows the testosterone levels to decrease.

How much is the down payment for CPAP?

Most health insurance is accepted, in which case you are responsible for any applicable deductibles or co-pays under the terms of your health insurance policy. $450 down payment for CPAP + $295 per month (one-year minimum commitment)** for testosterone replacement therapy AND sleep apnea therapy.

What is hypogonadism in men?

Hypogonadism, in a male, refers to a decrease in either testosterone production, sperm production, or both. The medical professionals at Low T Center address the testosterone aspect of this condition. Decreased sperm production requires a careful, thorough evaluation by a fellowship-trained specialist.

What is normal testosterone?

In healthy men, testosterone levels between 350 ng/dL and 1000 ng/dL are referred to as “normal.”. Normal physiology allows the brain and the testes to work together to keep testosterone in this range. The brain produces “signal” hormones that are responsible for stimulating testosterone production.

How does testosterone affect men?

Testosterone can affect the following: Growth and maturation of prostate and other male sex organs. Development of male hair distribution such as facial hair. Changes in body muscle mass and strength and fat distribution. Sex drive and sexual function.

What is the function of testosterone in the body?

Testosterone is a hormone made by the body that is responsible for the normal growth and development of the male sex organs and for maintenance of other sexual characteristics. In men, testosterone is produced in the testes, the reproductive glands that also produce sperm. The amount of testosterone produced by the testes is regulated by ...

Can testosterone replacement therapy make me feel more energetic?

If you have an abnormally low T, boosting your testosterone levels with TRT can help bring your energy levels back to normal. It can also restore your sex drive.

Should I avoid testosterone replacement therapy if I have certain conditions?

Guidelines from the Endocrine Society say you should not have TRT if you have prostate cancer or breast cancer.

How will I be monitored while on testosterone replacement therapy?

Your doctor will measure your testosterone levels at the 3- and 6-month marks after treatment begins . After that you'll be tested once a year. If your levels are OK you'll stay on your current dose.

Does TRT help with ED?

If you have low testosterone, TRT may help restore your ability to have healthy erections and can boost your sex drive. But ED has many other possible causes. Low testosterone may not be the whole story behind your ED. Talk to your doctor to determine what's at the root of your erection problems.

What happens after TRT?

You may notice a drop in body fat and a buildup of muscle mass after TRT.

Can you get TRT if you have sleep apnea?

You might be told by a doctor not to get TRT if you have these conditions, which may be made worse by TRT: Obstructive sleep apnea. Severe lower urinary tract symptoms, such as urinary frequency and urgency, associated with an enlarged prostate, or BPH (benign prostatic hyperplasia) Severe congestive heart failure.

Can you rub nasal gel on your skin?

You rub gels into the skin daily. They are convenient to use. But you have to be careful that no one comes into contact with the treated area for several hours after you've applied it. Otherwise they could get testosterone in their system. A nasal gel is now available that eliminates the risk of exposure to others.

image

The Testosterone Boom

Image
As the debate over safety and effectiveness smolders, the testosterone business is still booming. In 2013, 2.2 million American men were on prescription testosterone, and 80% of them were ages 40 to 74. Some suffer from verifiable medical problems that cause testosterone levels to plummet, like malfunctioning testes o…
See more on health.harvard.edu

Safety Concerns

  • Concerns about whether testosterone supplements are safe for the heart recently moved the FDA to require stronger warning labels on these products. But overall, the evidence for long-term risks is mixed. Some studies have found that men on testosterone have fewer heart attacks, strokes, and deaths from heart disease. Other studies have found a higher cardiac risk. Frustratingly, ther…
See more on health.harvard.edu

Filling The Gap

  • To explore the safety issue in typical TRT users, Dr. Bhasin and his colleagues studied a group of about 300 men, ages 60 and older, whose testosterone levels were either at the low end of the normal range for healthy adult men or slightly below that. The men were assigned at random to rub on either testosterone gel or a placebo gel every day. The team reported its findings August …
See more on health.harvard.edu

What Should Men do?

  • It’s especially important for men experiencing possible signs of testosterone deficiency to get a thorough evaluation before opting for a supplement. The American Endocrine Society guidelines for testosterone use, which Dr. Bhasin helped to create, lay out the basics of good practice. The guidelines, released in 2010, highlight a number of clear-cut “red flags” of hypogonadism, includi…
See more on health.harvard.edu

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9